Facility Rental Request Form

E-mail Address:
Name:
Department:
Phone Number:

Cancelling Reservations: Once your reservation has been confirmed cancelling your reservation will incur a charge of 30% of the confirmed cost.

1. Which room?

2. Please enter budget number, budget name, coordinator, coordinator's phone and box number.

3. How many students will be attending?

4. Do you require the installation of any specific software? If so, please provide the following information:

name of software
number of licensed copies owned (you must provide proof of ownership)
size of application
would you like it installed only on instructor's workstation, or on the server

5. Please list all the dates and times, in order of preference, your group is interested in using the training facility.

6. Have you ever received a room orientation? If not, please list the dates and times you or the instructor for the course are available for a 15 minute room orientation.

7. Any additional comments: